Fix detached frenulum?

Question

I had a labiaplasty a number of years ago performed. My surgeon says there’s nothing that can be done about this issue and says I have a great result. After having my labia almost completely amputated, my frenulum protrudes a lot. It is irritating during intimacy and the sensation of the flaps of skin moving independently of anything else is a reminder of the botched procedure. Is there anything that can be done to fix this issue?

Gary J. Alter, MD · Answer

It would be helpful if you send some photos. As the inventor and innovator of the wedge technique in 1994, I reconstruct many women who have had labia reductions by other surgeons, both wedge and trimming techniques. Your present dissatisfaction is due to a trimming labiaplasty which can leave a protruding frenulum. I have repaired many of these in which I suture the frenulum down. You also state that you have no labia. That also may be fixed. I published the first and most extensive paper on labia reconstruction in the prestigious journal "Plastic and Reconstructive Surgery" over ten years ago, and about 40% of my female genital surgeries are reconstructions of botched labiaplasties. You may need various reconstructive techniques to give you a good appearance, but this won't be known until all the swelling is gone. If you want small labia, I probably would recommend clitoral hood flaps to reconstruct your labia if your surgeon left enough remaining clitoral hood. I also invented that procedure, which is published in the paper above. You only get one good chance to reconstruct you, so be patient and ask a lot of questions.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NYC

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NYC

Michelle Jones Singer, MD · Answer

Please post a photograph of the vulva and the area that you are referring to. It would be easier to determine whether or not any thing  can be done you help you achiever your desired results.

Irena Karanetz, MD · Answer

Hello,
 
Thank you for the question.

I'm sorry to hear that you are not fully happy with your results.

It may be possible to perform revision surgery to help address your concerns.
 
I would recommend to obtain an in person consultation with a Board-Certified Plastic Surgeon specializing in Labiaplasty procedures to further discuss your options and expectations.
 
I hope this helps.
Best, Dr. Karanetz
 
Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon
Evolve Plastic Surgery
Queens, New York

Burcak Tok, MD · Answer

Hello, if you share the picture of your current vulva, it will be possible to say more clearly if there is anything that can be done.

Courtenay Poucher, MD · Answer

Hello Louisa123.
Without seeing you for an exam a specific answer cannot be provided however, in general, there are options to address a transected or dangling frenulum. The frenulum can be reattached to neighboring skin, potentially, and only in expert hands. The protrusion can be reduced in size by resurfacing it. I hope this is helpful. If you decide to have this treated be certain to have more than one consultation with experts.Best Wishes~Dr. Poucher

Marco A. Pelosi III, MD, FACOG, FACS · Answer

Post a photo or share one privately with a virtual consultation. Repairing a detached frenulum might be solution for your, but without a photo, nothing can be determined.

Oscar A. Aguirre, MD, FPMRS · Answer

Sorry about your poor experience with what should otherwise have been a life-changing procedure for the better. Revision of the frenulum and remaoining labia could certainly be an option for you. A photo would have been helpful in giving you a better response.
Go to the link below to see hundreds of before and after photos where you will find many examples of my work. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck,

Joe Daniels, MBBS · Answer

Generally the detachment can be re-attached however due to limited blood supply to the detached portion, it’s difficult to guarantee that it will “take”, it’s almost like grafting the detached portion back to “base”. Depending on your case, an option would be to trim off the offending skin-tag effect of the area. The problem with this it might not look nice and further adjustment clitoral Hoodectomy May be advised to try to improve appearance

İrem Yengel, MD - Account Suspended · Answer

Labioplasti sonrası yaşadığınız sorunlar, özellikle frenulumun dışarı çıkması ve tahriş gibi şikayetler, bazen komplikasyonlar veya iyileşme sürecindeki zorluklardan kaynaklanabilir. Bu durumda, cerrahınızın önerisiyle başka bir müdahale düşünmek gerekebilir. Frenulumun dışarı çıkması, genellikle o bölgedeki dokuların yeterince sıkı olmaması ya da iyileşme sürecinin beklenenden farklı bir şekilde gerçekleşmesinden kaynaklanabilir.
Bu tür sorunları düzeltmek için birkaç seçenek mevcut olabilir:
1. Ekstra Cerrahi Müdahale: Eğer frenulumda aşırı bir çıkıntı varsa, küçük bir düzeltme yapılabilir. Ancak, bunu değerlendirmek için tekrar bir uzmandan (tercihen labioplasti konusunda deneyimli bir cerrah) görüş almak önemli olacaktır.
2. Frenulumun Modifikasyonu: Frenulumdaki dokuların yeniden şekillendirilmesi veya fazlalıkların çıkarılması için küçük bir operasyon yapılabilir. Bu müdahale, tahrişi azaltabilir ve hareketliliği düzeltebilir.
3. Cilt Bakımı ve Krem Tedavisi: Tahrişi hafifletmek için topikal kremler (özellikle cilt iyileştirici özelliklere sahip olanlar) kullanmak da yardımcı olabilir. Fakat bunlar, cerrahi düzeltmenin yerine geçmez.
4. Fizyoterapi veya Masaj: Vajinal kaslar ve çevresindeki dokulara yönelik yapılan bazı egzersizler, frenulumun etrafındaki bölgenin daha düzgün ve rahat hale gelmesine yardımcı olabilir.
Durumunuzu değerlendirmek ve en iyi çözüm önerilerini almak için labioplasti konusunda deneyimli bir kadın hastalıkları ve doğum uzmanına gitmeniz faydalı olacaktır.